Provider Demographics
NPI:1437758935
Name:HASKINS, CHARLITA GEPILANGO (RN)
Entity Type:Individual
Prefix:
First Name:CHARLITA
Middle Name:GEPILANGO
Last Name:HASKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 414 BOX 1231
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09173-0013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:#11 ST JOSEF STRASSE
Practice Address - Street 2:
Practice Address - City:PARSBERG
Practice Address - State:BAVARIA
Practice Address - Zip Code:92331
Practice Address - Country:DE
Practice Address - Phone:702-858-1842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN70961163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
0583523421-8OtherNURSES SERVICE ORGANIZATION.